Laurie Evans Douglas, MD | |
301 S 28th Ave, Hattiesburg, MS 39401-7233 | |
(601) 261-1700 | |
(601) 288-8290 |
Full Name | Laurie Evans Douglas |
---|---|
Gender | Female |
Speciality | Hematology/oncology |
Experience | 17 Years |
Location | 301 S 28th Ave, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013173590 | NPI | - | NPPES |
00324314 | Medicaid | MS | |
10131735900 | Other | NC | TRICARE |
10131735900 | Medicaid | NC | |
187RG | Other | NC | BCBS |
10131735900 | Other | NC | UHC |
Q94015 | Other | NC | SC MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 23948 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Forrest General Hospital | Hattiesburg, MS | Hospital |
Highland Community Hospital | Picayune, MS | Hospital |
South Central Reg Med Ctr | Laurel, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hattiesburg Clinic, Pa | 5193706794 | 488 |
Entity Name | Hattiesburg Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
Mailing Address | Practice Location Address |
---|---|
Laurie Evans Douglas, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-1700 | Laurie Evans Douglas, MD 301 S 28th Ave, Hattiesburg, MS 39401-7233 Ph: (601) 261-1700 |
Dr. Charles Ramsey Mccollum Iii, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5650 Fax: 601-579-5212 | |
Porter Hudson Glover, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5680 Fax: 601-268-5778 | |
Alex Gauthier, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000 | |
Grettel Rodriguez Garcia, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 31 Woodstone Dr, Hattiesburg, MS 39402 Phone: 347-342-2441 | |
Ms. Manal Mohammad Abdur Rahman, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7 Medical Blvd, Hattiesburg, MS 39401 Phone: 601-296-2990 Fax: 601-296-2860 | |
Dr. Vashishtha Patel, DO Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 704-733-7499 |